Upper East Side Gynecology PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

216523 Issued in NY

Legal business name

UPPER EAST SIDE GYNECOLOGY PLLC

Practice address

40 E 84TH St
New York, NY 10028-1115

Phone

(212) 472-6500

Fax

(212) 988-8737

NPI assigned

Feb 9, 2013

Last updated

Aug 5, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carmit Archibald, MDNPI 1285683672

Title

Owner

Phone

(212) 472-6500

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2613/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmit Archibald, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1285683672
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1265771307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281115",
            "telephone_number": "212-472-6500",
            "fax_number": "212-988-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281115",
            "telephone_number": "212-472-6500",
            "fax_number": "212-988-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER EAST SIDE GYNECOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-09",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "CARMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-472-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "216523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in New York, NY
• Providers in New York, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.